Jean, Leann Gail

Jean, Leann Gail is an sole proprietor health care provider with primary practice located at 3711 Executive Center Drive Suite 201 , Martinez GA 30907-0951. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jean, Leann Gail can be contacted via phone (706) 955-9224.

Contact Information

Primary practice address
3711 Executive Center Drive Suite 201 Martinez GA 30907-0951
Phone: (706) 955-9224
Fax: (706) 955-9349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004416 Georgia

Profile Details

NPI number 1942332887
LBN Legal business name Jean, Leann Gail
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Nov 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942332887 NPPES
Georgia MEDICAID 527365613A

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